| NPI | 1518351139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL OSTEEN PIC/Owner 803-496-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 12676) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |